Individual provider Active NPI

Bruce M. Rippee, D.C.

  • Chiropractor
  • Gladstone, MO
National Provider Identifier
1255407540
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
005977 Issued in MO
Practice address
305 NW Englewood Court
Suite 200
Gladstone, MO 64118
Phone
(816) 454-5433
Fax
(816) 454-8455
NPI assigned
Nov 28, 2006
Last updated
Feb 20, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 005977 MO Primary

Addresses

Primary practice location

305 NW Englewood Court
Suite 200
Gladstone, MO 64118

Mailing address

305 NW Englewood Court
Suite 200
Gladstone, MO 64118
Phone (816) 454-5433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005977MOMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1255407540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 NW ENGLEWOOD COURT",
            "address_2": "SUITE 200",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "64118",
            "telephone_number": "816-454-5433",
            "fax_number": "816-454-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 NW ENGLEWOOD COURT",
            "address_2": "SUITE 200",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "64118",
            "telephone_number": "816-454-5433",
            "fax_number": "816-454-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIPPEE",
        "first_name": "BRUCE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "005977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.